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FOR OFF,IG�' USE OI�JL.Y <br />BUILpING <br />aldg/TI/Addn/Rem Size <br />Garage Size <br />VALUATI ON <br />No. of Stories <br />Occupancy Group <br />Occupant Load <br />Basement Yes No Fin/Unf <br />I ype oi Const�uction <br />Exstg Sprinkler System? Yes No Unk <br />Fire Sprink Reqd? Yes No <br />Reason <br />Exstg Fire Alarm? Yes No Unk_ <br />Fire Alarm Reqd? Yes No <br />Reason <br />Enclosure (RCW64.55) Yes No <br />Approved by: Date_ <br />Comments; <br />FEES <br />Plan Check Fee <br />Building Permit <br />Surcharge <br />Additional Plan Check <br />Water <br />Sewer <br />Systems Dev. Due? Yes No <br />Sysfems Dev. Fees <br />Public Works <br />Traffc Mitigation Due? Yes No <br />School Mitigation Fee <br />. � ' <br />'�'I /f/ j r <br />` . -'4::_... <br />PLANNING <br />Zoning Classification l� V �. <br />Overlay/Agreement <br />Nonresidential Use <br />Residential Use ' l� � �-' <br />Propased No. of Dwelling Units: <br />Total No, of DWelling Units; <br />Landscape or Planning Inspection <br />needed before final? Yes No <br />Planning Inspector: <br />Phone #: . , <br />,i � . <br /><4np�p�iad �Zr; ,?_ Z r ngta• % ti - <br />Historic Approved by: Date: <br />School Mitigation Reqd? Yes _ No <br />Everett School Dist Mukilteo School Dist <br /># of Net New Units: <br />Calculated School Impact Fee: ' <br />5chool Impact Fee Credit: <br />Total School Impact Fee pwed: <br />Comments: - . <br />